J Korean Soc Emerg Med.  2012 Feb;23(1):145-148.

Progressive Paralysis of the Right Lower Extremity due to Diffuse Idiopathic Skeletal Hyperostosis: A Case Report

• Choi HJ
• Park HS
• Oh SB

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier's disease, is a common disorder characterized by ossification and calcification of soft tissues such as the enthuses and joint capsules, particularly affecting the spine. This condition affects approximately 3~30% of men older than 50 years of age. We present the case of a 39-year-old woman diagnosed with DISH combined with extensive ossification of the posterior longitudinal ligament (OPLL) and ossification of ligamentum flavum (OLF). The emergency physician should understand the typical radiologic findings associated with DISH and its clinical presentations in order to diagnose and treat this problem.

Keyword

Hyperostosis; Diffuse Idiopathic Skeletal; Ossification of Posterior Longitudinal Ligament; Ligamentum Flavum

MeSH Terms

Adult
Emergencies
Female
Humans
Hyperostosis
Hyperostosis, Diffuse Idiopathic Skeletal
Joint Capsule
Ligamentum Flavum
Longitudinal Ligaments
Lower Extremity
Male
Ossification of Posterior Longitudinal Ligament
Paralysis
Spine